Focus Area: Early Childhood

Cross-Sectional Evaluation of WIC Participation Status and Massachusetts Children’s Nutrition after the Cash-Value Benefit Increase

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The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) increased the Cash-Value Benefit (CVB) for fruits and vegetables in 2021. Although WIC participants reported increased purchasing, consumption, and variety of fruits and vegetables after the CVB increase, it is unknown whether this resulted in higher fruit and vegetable intake relative to nonparticipants. The More

An Electronic Health Record-Based Intervention to Facilitate Primary Care Referrals to the Special Supplemental Nutrition Program for Women, Infants, and Children: Retrospective Cohort Study

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This study evaluated responses to an electronic health record (EHR)-embedded federal nutrition program (FNP) participation screening and WIC referral tool implemented within 8 clinics during well-child visits for children younger than 5 years of age. Structured EHR data from July 2020 to October 2023 were extracted to summarize screening, referral acceptance, WIC enrollment outcomes, and More

Increases to WIC’s Cash-Value Benefit for Fruits and Vegetables and Higher Benefit Redemption

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The cash-value benefit (CVB) in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) supports low-income households with young children to purchase fruits and vegetables. Our objective was to estimate whether the amounts households spent with the CVB increased after recent policy changes. In this natural experiment from 2017 to 2022 among 485 560 More

“It’s just not worth it anymore”: A Mixed Methods Study Examining the Impact of Reinstating Reimbursement Tiers in the Child and Adult Care Food Program

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This study aimed to assess impacts of the Child and Adult Care Food Program (CACFP) reinstatement of tiered reimbursements among family child care home (FCCH) providers, sponsors, and families in California. Irrespective of tier, surveyed providers reported that the reinstated, tiered reimbursements were insufficient (92.4%), resulting in reduced food variety (39.1%) and quality (14.8%), and More

Reliability and Validity of a Parent-Reported Diet Quality Screener for Young Children: the Rapid Prime Diet Quality Score for Kids (rPDQS-Kids)

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Pediatric dietary assessment is challenging, particularly for young children who cannot accurately report their own intake. Many existing measures are burdensome for proxy-reporters, and briefer dietary screeners focus on specific dietary components but not total diet quality. The objective of this study was to develop and evaluate the reliability and validity of an adapted brief More

Forecasting WIC Funding Needs: Supporting Families, Strengthening Access

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In partnership with Westat and with support from Healthy Eating Research, the National WIC Association (NWA) developed a new forecasting model to project funding needs of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) for Fiscal Year 2027. Report This report describes the model development, including methodology, as well as analysis conducted More

A Pediatric Perspective on the 2025-2030 Dietary Guidelines

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Clear, evidence-based guidance on what foods and beverages children and adolescents should consume—and in what amounts—is foundational for promoting healthy growth and preventing diet-related chronic disease across the life course. Yet many children and adolescents in the US continue to have diets of poor nutritional quality. The Dietary Guidelines for Americans (DGAs), issued every 5 More

An Electronic Health Record-based Intervention to Facilitate Primary Care Referrals to WIC: A Retrospective Cohort Study

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Despite benefits of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), many eligible children remain unenrolled. This study evaluated responses to an electronic health record (EHR)-embedded federal nutrition program (FNP) participation screening and WIC referral tool implemented within eight clinics during <5-year-well visits. Among 5,385 children, mean age at initial screening was More

Assessing Caregiver Comfort With Linking the Health Care System and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

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Integrating WIC referrals within clinical care may improve WIC uptake, data sharing, and nutrition/health outcomes, but little research has explored family perspectives about information exchange between health care providers and WIC regarding their child’s health. Better understanding family perceptions of information exchange could facilitate improvements in the design of effective, family-centered referral pathways. This study More